Active NPI
Educare Nutrition and Diabetes LLC
- Metabolic Nutrition Registered Dietitian
- Woodland Hills, CA
National Provider Identifier
1376800938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Legal business name
- EDUCARE NUTRITION AND DIABETES LLC
- Practice address
- 22554 Ventura Blvd
205
Woodland Hills, CA 91364-1413 - Phone
- (818) 330-4021
- NPI assigned
- Apr 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Milton, RD, CDE
- Title
- Owner
- Phone
- (818) 330-4021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | |||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 859147 | CA | |
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
22554 Ventura Blvd
205
Woodland Hills, CA 91364-1413
Mailing address
22554 Ventura Blvd
205
Woodland Hills, CA 91364-1413
Phone (818) 330-4021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22554 Ventura Blvd
Ste 205
Woodland Hls, CA 91364
Phone (818) 222-2080
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Woodland Hills, CA
- NPI 1538191440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335830400000",
"number": "1376800938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22554 VENTURA BLVD",
"address_2": "205",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641413",
"telephone_number": "818-330-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22554 VENTURA BLVD",
"address_2": "205",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641413",
"telephone_number": "818-330-4021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUCARE NUTRITION AND DIABETES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-19",
"last_updated": "2012-05-01",
"status": "A",
"authorized_official_last_name": "MILTON",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-330-4021",
"authorized_official_credential": "RD, CDE"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": "859147",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.